Do you ever wonder if you stood next to a doctor and yelled "Hello" in their ear you would hear a huge echo just like you were standing in a cave?
Just go back from the PCP today and I swear I still hear an echo.
Several months ago she gave me a script
for 2mg Dilaudid as needed every 8 hours. I took the script
as prescribed for a month and was only getting 30 minutes, sometimes and hour, of pain relief from it. At my next appointment she asked me how it was working and if I wanted another script
. I told her that at the 2mg every 8 hour level it was not providing a long enough of duration of relief to make it worth taking as it only messed up my mental blocks and that it was like being teased for hours on end and being left cold. At this point she said we would have to try something else....as in a new medication as she didn't want to prescribe higher doses.
So today we had a long talk about
pain management and I suggested revisiting past medications like Darvoset or Percoset which had not worked before, but at the time I had tried it I had been hospitalized a lot and had been on a lot of IV morphine and Demerol so I thought that maybe I had developed a tolerance for narcotic pain meds which is why nothing worked until I was put on oral morphine, and since it had been a over a year since I had been on any narcotics (except 1 month of the Dilaudid) that maybe one of the others would work now. She proceeds to respond that people do not develop tolerances for the analgesic effects of pain meds, only for the side effects.
So what does she do....She writes me a script
for 4 mg of Dilaudid every 8 as needed, something she has previously said she did not want to do because she didn't think increasing the dose would do any good.
At least she did agree with my reasoning behind not wanting any more injections since all they ever did was raise my blood sugar to highly dangerous levels. The last round I had sent my blood sugar into the 300-400 range for about
6 weeks and it would not come down even with doubling my insulin regiment in both dose and frequency of shots. She also agreed with not trying any more NSAID's because my last labs showed the beginning of kidney disease.
I walked out of my appointment today wonder if anyone was home and hearing that echo.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.